Cultural and institutional restrictions on dying styles in a technological society

The starting medical advances of this century have created unparalleled opportunities for ill and suffering people, but these same forces have combined to make the experience of dying a terrifying, fearful, lonely vigil for many. Devoid of traditional myths, rituals, and family support, many patients now die in sterile institutional settings often appearing as mere appendages to life-supporting machines. This shift from the moral to the technical order manifests itself in doctors' fascination with gadgets, the emphasis upon parts of the body, and a concomitant blurring of distinctions concerning death, personhood, and individual rights. The patient is reduced to a secondary role in his or her own death, thus engendering a widespread desire for a sudden death. In light of these circumstances, health care personnel need to create circumstances that would give people more opportunities to die in styles commensurate with their life styles. Society must seriously study the implications of the unthinking treatment of people; and routines, policies, and procedures based on matters of mere efficiency and technological convenience must be replaced by those human and humane ceremonies, attitudes, and policies that must assure that technology's magnificent achievements do not obscure the human need for individuality and spiritual growth even during the dying process.